Mar Checklist

8/11/2019 Mar Checklist

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Guidelines for Completing theMedication Administration ills Checklist

Revised 10/05; 10/10 13

Clinical Sk

Wash hands before and after. Gloves are to be worn.P. * Gastrostomy Tube

Section 14: Other Tasks/Skills

A. Self-Administration of medications byresidents

B. Received orientation to facilitys policy and procedures for medication administration

P. Gastrostomy Tube

Tube should be flushed with sufficient water prior to and after the administration water should be reflected in the physicians order or the facilitys procedure.

Solid medications that are crushed or altered for administration should be dissolvealso check to check with the pharmacist to ensure medications may be crushed or

Section 14

A. The employee is knowledgeable of the facilitys policy and procedure for self-admirequired for the resident to self-administer medications and be able to store medication

B. The employee has been provided a copy of the facilitys policy and procedures, kno policy and procedures and able to locate the manual as a resource and reference.


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ATTACHMENT A

DHSR/AC 4653-A NCDHHS

ABBREVIATIONS

DOSES ROUTES OF ADMINISTRATION gm = gram po = by mouthmg = milligram pr = per rectummcg = microgram OD = right eyecc = cubic centimeter OS = left eyeml = milliliter OU = both eyestsp = teaspoonful AD = right eartbsp = tablespoonful AS = left eargtt = drop AU = both earsss = 1/2 SL = sublingual (under the tongue)oz = ounce SQ = subcutaneous (under the skin)mEq = milliequivalent per GT = through gastrostomy tube

TIMES OTHER QD = every day MAR = medication administration recordBID = twice a day OTC = over the counter

TID = three times a day SIG = label or directionsQID = four times a dayq_h = every __ hoursqhs = at bedtimeac = before mealspc = after mealsPRN = as neededQOD= every other dayac/hs= before meals and at bedtimepc/hs= after meals and at bedtimestat = immediately


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Attachment B

COMMON DOSAGE FORMS

1. Tablet Hard, compressed medication in round, oval, or square shape. Some haveenteric coating or other types of coatings, which delay release of the drug and can not becrushed or chewed.

2. Capsule Medication in a gelatin container. The capsule may be hard or soft anddissolves quickly in the stomach.

3. Liquid There are different types of liquid medications:A. SolutionB. SuspensionC. SyrupD. Elixir

4. Suppository small solid medicated mass, usually cone-shaped. Suppositories melt at body temperature. May be administered by rectum or vagina. Refrigerate as directed bymanufacturer.

5. Inhalant medication carried into the respiratory tract through the vehicles of air,oxygen or steam. There are inhalants used orally and nasally.

6. Topical applied directly to the skin surface. Topical medications include the following:A. OintmentB. LotionC. PasteD. CreamE. ShampooF. Patches (Transdermal)G. PowderH. PasteI. Aerosol Sprays

DHSR/AC 4653-B NCDHHS


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Attachment CDHSR/AC 4653-C NCDHHS

MEASURING TIPS

TIP: use an oral syringe foramounts less than 5ml

Reminder: 1cc = 1mlA cubic centimeter is the same as a milliliter.

10cc = 10ml20cc = 20ml

mg. ml.A mg is NOT the same as a ml ! ! !

TIP: Always read the labelcarefully to be sure you aremeasurin the ri ht thin .

This 20ml cupcontains 20mg ofmedication in it.

This 20ml cupcontains 40mg ofmedication in it.

20ml

YOU CAN'T TELL THE DIFFERENCE BY LOOKING

1 TSP. = 5ml.

TIP: Don't use householdteaspoons. They are not accurate!

TIP: To be accurate, use the correctmeasuring tool. Ask yourpharmacist. Some liquidmedicines have specialmeasuring tools.

=

1 tbsp. = 3 tsp

=

3 tsp. = 15ml

1510

5

TIP: When measuring liquids,hold the cup at eye level.


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ATTACHMENT D

Equipment Required:

Prescribed MedicationExamination Gloves(optional) Procedure:

1. Remove the cap and hold inhaler upright.

2. Shake the inhaler.

3. Ask the resident to tilt the head back slightly and breathe out.

4. Position the inhaler in one of the following ways: Open mouth with inhaler one to two inches away. Use spacer with inhaler; place spacer in mouth (Spacers are

particularly beneficial for older adults & young children). Position inhaler in mouth, close lips around inhaler.

5. Press down on inhaler to release medication as the resident starts

to breathe in slowly.

6. Encourage the resident to breathe in slowly (over 3 to 5 seconds).

7. Ask the resident to hold breath for 10 seconds to allow medicationto reach deeply into the lungs.

8. Repeat puffs as directed. (Waiting one minute between puffs may

permit additional puffs to penetrate the lungs better).

DHSR/AC 4653-D NCDHHS

TECHNIQUE FOR PROPER USE OFMETERED DOSE INHALERS


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ATTACHMENT D

DHSR/AC 4653 D NCDHHS

1. Bronchodilators / Beta-Agonis tsalbuterol - Ventolin , Proventil ;metaproterenol - Alupent ;pirbuterol - Maxair ;bitolterol - Tornalate

These agents work by promotingWait one minute between puffs for multiple

inhalations of the same drugbronchodilation by relaxing bronchialsmooth muscle.

2. Anticholinergic Agentsipratropium - Atrovent

Antagonizes the action of acetylcholinewith resulting bronchodilation.

Minimal systemic activity. Is used for maintenance therapy only,

not acute episodes.Wait five minutes before administering May be more useful than traditional

bronchodilators in chronic bronchitis.

3. Miscellaneous AgentsWait one minute between puffs for multiple

inhalations of the same drugcromolyn - Intal ;

nedocromil - Tilade

Stabilizes mast cells and inhibits therelease of histamine from these cells.

Must be used on a regular basis, notuseful on a PRN basis.

May be used prophylactically prior toexercise.

4. Corticosteroids Wait five minutes before administeringtriamcinolone Azmacort ;flunisolide Aerobid ;

budesonide Pulmicort

Wait one minute between puffs for multipleinhalations of the same drug

fluticasone/salmeterol - Advair

Anti-inflammatory agents may have avariety of actions useful in management

Rinse the mouth out following use (do notswallow the water) to help preventoropharyngeal fungal infections. The use ofa spacer device may also reduce these sideeffects.

of COPD. Must be used on a regular basis, not

PRN agents. Minimal systemic activity

SPACING AND PROPER SEQUENCE OFINHALED MEDICATIONS

All Inhalers Must Be ShakenWell Prior To Use ! !

Bronchodilator: Proventil, Alupent, etc.

Atrovent / Miscellaneous Agents

Corticosteroids; Azmacort, Pulmicort, etc.

Spacing and proper sequence of the different inhalers is important for maximal drugeffectiveness. If more than one inhaler is used, following the sequence listed belowprovides the most benefit to the patient.

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